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Provider Relations Executive

3 months ago

Morristown, Tennessee, United States The Cigna Group Full time
The job profile for this position is Provider Relations Advisor, which is a Band 4 Senior Contributor Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

This is a hybrid role and requires the ability to work in person.

This position is a high functioning role with account management and strategic planning responsibilities for a specific provider book of business. They are responsible for engaging with providers as collaborative partners to drive strategic planning activities to improve experience outcomes while encouraging and influencing the provider/customer relationship in support of the connected care strategy.

This role is external facing and supports the provider in delivering education on Cigna products, policies, procedures, collaborative programs and more. They work in partnership with matrix partners; (Contracting, Market Medical Executives, Sales, Accounts Receivable Support and more) to support provider specific and local market initiatives.

This individual is empowered to make decisions as it pertains to the provider experience, is required to have local market knowledge and will contribute to building a culture of service excellence while continuously improving the relationship between Cigna, providers, and customers.

DUTIES AND RESPONSIBILITIES

  • Accountable for the end-to-end provider experience for assigned Book of Business (BOB) (based on Cigna's local market strategy; CAC's, Integrated Delivery Systems, Independent Physician Groups, etc)
  • Supports local market total medical cost strategies for assigned BOB
  • Owns end-to-end management and execution of corrective and strategic action plans
  • Leads, collaborates, and provides direction to improving the provider experience in accordance with action plans activities
  • Proactively identify new opportunities and risks for providers through SWOT or competitive analysis actions
  • Responsible for coordinating, directing, and implementing Service Experience Review (SER) as defined by the SER strategy
  • Manage joint operating committees (JOC), including agenda development, facilitating appropriate meeting participation and follow up activities
  • Facilitates education and discussion on products, quality initiatives, disease management programs, joint ventures, etc.
  • Monitors internal metrics and service performance in accordance of organizational and provider specific goals.
  • Proactively educate and influence policies on CIGNA's business objectives, standard operating procedures, policies and programs
  • Participate in local professional associations/organizations
  • Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements
  • Collect, analyze, interpret, translate and distribute provider informatics with Account Management team
  • Review provider reports/dashboard with individual HCPs
  • Understands and applies service culture principles and methodology
  • Serve in a consultative role or subject matter expert to key matrix partners
  • Participates in presentations to existing and prospective providers
  • Serves as advocate in external community, representing Cigna to medical societies and external provider associations.
  • Convenes and participates in physician and administrative focus/advisory groups

POSITION REQUIREMENTS

  • Bachelor's degree or higher strongly preferred or equivalent work experience required
  • Excellent presentation skills and strong proficiency in speaking in both individual and group settings
  • 5+ years of experience building strong, positive relationships with providers
  • Accountability through Matrix management: Works collaboratively across functional areas to improve the provider experience
  • Strong influencing/negotiation skills
  • Ability to analyze and articulate service outcomes accordingly
  • Demonstrated excellent oral, written, interpersonal, analytical, influential and negotiation skills.
  • Understanding of medical insurance products, industry and associated provider issues
  • Ability to lead experience initiatives to drive service improvements
  • Ability to work in a matrix environment
  • Less than 25% travel

CORE COMPETENCIES

  • Manages Complexity and
    Courage
  • Organizational Savvy
  • Resourceful
  • Situational Adaptability
  • Ensures Accountability
  • Decision Quality
  • Drive Results
  • Plans and Aligns
  • Tech Savvy
  • Business Insight
  • Cultivates Innovation
  • Strategic Mindset
  • Nimble learning
  • Customer Focus
  • Values Differences
  • Interpersonal Savvy
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 72, ,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.